VAERS 2021 Database www.vaers.hhs.gov

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VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1384407
Sex: M
Age:
State: OH

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: mild headache; Sore arm 11 hours post-vaccine; more tired than normal that evening; This is a spontaneous report from a contactable consumer. A 45-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot Number: EN 6199) via an unspecified route of administration administered in right arm on 09Mar2021 09:45 (at 45 years old) as single dose for COVID-19 immunization. There were no other vaccinations within 4 weeks prior to the first dose of BNT162B2. Medical history included high blood pressure, acid reflux, fatty liver, and overweight; all from unspecified date and unknown if ongoing. Concomitant medications included unspecified blood pressure and acid reflux medicines. The patient did not have COVID prior vaccination and no COVID tests done post vaccination. The patient experienced sore arm 11 hours post-vaccine and more tired than normal that evening on 09Mar2021. The patient also experienced mild headache the next morning on 10Mar2021. All were non-serious. No treatment was given due to the events. Outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1384408
Sex: U
Age:
State: TX

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Headaches; Fever; This is a spontaneous report from a contactable consumer reporting for self A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) Batch/Lot Number: 6202 dose 1 via an unspecified route of administration, administered in Arm Left on 01Mar2021 14:30 as 1ST DOSE, SINGLE for covid-19 immunisation . Medical history included blood pressure abnormal. There were no concomitant medications. The patient experienced headaches and fever on 03Mar2021 02:00 with outcome of not recovered. No No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1384409
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: loss of taste; This is a spontaneous report from a non-contactable consumer. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) lot number not reported dose 1 via an unspecified route of administration on an unspecified date as 1ST DOSE, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced loss of taste on an unspecified date with outcome of unknown. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on unknown date No follow-up attempts are possible, information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1384410
Sex: F
Age:
State: TX

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Severe and unusual itchiness; Bruised; Severe itchy throat; Ears achiness; Soreness; Lethargic feeling; This is a spontaneous report from a contactable consumer (patient herself). This 29-year-old female patient received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), intramuscularly on the left arm on 06Mar2021 at 09:45 AM (Batch/Lot number EN6205) (at the age of 29-year old) at single dose for Covid-19 immunization. Relevant medical history included depression, polycystic ovarian syndrome (PCOS), food allergy to tree nuts, avocados, cantaloupe, sunflower seeds. Concomitant medications included bupropion, fluoxetine, spironolactone, cetirizine (ZYRTEC OTC). On 06Mar2021 at 11:00 AM the patient experienced severe and unusual itchiness, when scratched bruised immediately, severe itchy throat and ears achiness, soreness, lethargic feeling. The patient was treated with dyphenhydramine (BENADRYL), paracetamol (TYLENOL) and ibuprofen due to the events. The outcome of the events was recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: BUPROPION; FLUOXETINE; SPIRONOLACTONE; ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 1384411
Sex: F
Age:
State: PA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Slightly elevated heart rate; This is a spontaneous report from a contactable consumer (patient herself). This 38-year-old female patient received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) via unspecified route of administration on the left arm on 05Mar2021 at 05:00 PM (Batch/Lot number EN6203) (at the age of 38-year old) at single dose for Covid-19 immunization. Relevant medical history was not reported. Concomitant medications were unspecified. On 05Mar2021 at 05:15 PM the patient experienced slightly elevated heart rate for 2 days, almost like a drank too much caffeine. No treatment was given for the event. The outcome was recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1384412
Sex: M
Age:
State: CA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: I had some slight chills and achy all around; I had some slight chills and achy all around; I had no appetite; This is a spontaneous report from a contactable consumer. A 71-years-old male consumer (patient) reported that received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number EN6204), on 09Mar2021 at 12:30 AM Left arm (at the age of 71-years-old) at single dose for COVID-19 immunization. The patient had received first dose of vaccine on 16Feb2021 lot number: EN6201 at 02:45 AM in the Left arm. Medical history included Type 2 diabetes and high BP. On 09Mar2021 by 5 on that evening, the patient had no appetite. By 7, he had some slight chills and achy all around. No treatment was received. The outcome was recovered with lasting effects. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1384413
Sex: F
Age:
State:

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: black marks from the shoulder to the elbow; This is a spontaneous report from a contactable consumer (patient). A 78-years-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 27Feb2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. Patient received the first dose of vaccine on 06Feb2021. The patient medical history was not reported. The patient's concomitant medications were not reported. On Mar2021 (reported as "at the third day after the second dose"), patient experienced black marks from the shoulder to the elbow with outcome of unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1384414
Sex: F
Age:
State:

Vax Date: 02/22/2021
Onset Date:
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: blood pressure high; headache; fatigue; This is a spontaneous report from a contactable nurse (patient). A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 22Feb2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. She had never had problems with her pressure in the past. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced headache, fatigue, blood pressure high, all on an unspecified date. The events outcome was unknown. The patient underwent lab tests and procedures which included blood pressure measurement: 165/134. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Sender's Comments: The association between the event high blood pressure with BNT162b2 can not be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 1384415
Sex: F
Age:
State: IL

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Short term memory less; Very strong pain the arm (could not move it or pick up any weight); Continuous runny watery nose; Excesive sweating/I sweat a lot while sleeping but I did not have a fewer.; This is a spontaneous report from a contactable consumer (patient herself). A 27-year-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number EN6200) via an unspecified route of administration in left arm on 02Mar2021 04:30PM at single dose for COVID-19 immunization. Relevant medical history was not reported. The patient had no COVID prior vaccination. Concomitant medications included iron. The patient was not administered with any vaccine in four weeks. On 02Mar2021 04:30PM the patient had very strong pain in the arm (could not move it or pick up any weight), continuous runny watery nose, excessive sweating (during the next two nights after getting vaccine, so on 02Mar2021 and 03Mar2021, the patient sweat a lot while sleeping but with no fever). In addition, about 72 hours after getting vaccine, the patient had short term memory loss (she would read something immediately forgetting was she just read (lasting for about 30-45 minutes). The patient did not receive treatment and was not tested for COVID after vaccination. Events lasted about 72 hours after getting vaccine and resolved in Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds: IRON

Current Illness:

ID: 1384416
Sex: F
Age:
State: GA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fast heartbeat; dizziness; itching all over; This is a spontaneous report from a contactable consumer. A 56-years-old female patient reported for herself that she received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Right on 09Mar2021 15:15 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. Medical history included hypertension from an unknown date and unknown if ongoing, Sulfonamide allergy from an unknown date and unknown if ongoing. Concomitant medication included losartan (LOSARTAN) taken for an unspecified indication, start and stop date were not reported; mometasone furoate (FLONASE [MOMETASONE FUROATE]) taken for an unspecified indication, start and stop date were not reported; cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) taken for an unspecified indication, start and stop date were not reported. The patient previously took Rocephin (ceftriaxone) and experienced drug hypersensitivity, doxycycline and experienced drug hypersensitivity, ciprofloxacin and experienced drug hypersensitivity, codeine and experienced drug hypersensitivity, Oyster experienced drug hypersensitivity. The patient experienced fast heartbeat (heart rate increased) (non-serious) on 10Mar2021 02:00 with outcome of recovering , dizziness (dizziness) (non-serious) on 10Mar2021 02:00 with outcome of recovering , itching all over (pruritus) (non-serious) on 10Mar2021 02:00 with outcome of recovering. The patient underwent lab tests and procedures which included heart rate: fast on 10Mar2021. No follow-up attempts are possible, information about lot/batch number cannot be obtained.

Other Meds: LOSARTAN; FLONASE [MOMETASONE FUROATE]; ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 1384417
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Sinus infection; This is a spontaneous report from a contactable consumer (patient herself). This 92-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number not provided), via an unknown route, on unknown date at single dose for COVID-19 immunisation. Historical vaccine includes BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number not provided), via an unknown route, on unknown date (at the age of 92-year-old) at single dose for COVID-19 immunisation. No relevant medical history and concomitant medications were provided. After receiving the second dose everything was fine. 5 days after the shot, the patient had sinus infection. She was prescribed penicillin amoxicillin. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1384418
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: arm is swollen and sore; arm is swollen and sore; This is a spontaneous report from a contactable consumer (patient) A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number was not reported) on an unspecified date at single dose in arm for covid-19 immunisation. The patient medical history was not reported. Concomitant medication included ibuprofen. The patient stated that on an unknown date following her vaccination, her arm was swollen and sore.The outcome of the events was unknown. Patient also asked for additional information about taking ibuprofen prior to getting the covid vaccine; she took ibuprofen before having the vaccine and now worried that she may have decreased the effectiveness. Asking how much it will be affected by taking ibuprofen. No follow-up attempts are possible; information about lot/batch number cannot be obtained.No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: IBUPROFEN

Current Illness:

ID: 1384419
Sex: F
Age:
State: SC

Vax Date: 02/27/2021
Onset Date: 03/06/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Pain under left breast; This is a spontaneous report from a contactable consumer (patient). An 80-year-old female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: En6198), administered in left arm, on 27Feb2021 at 09:15 AM (at the age of 80-years-old) at 2nd dose, single dose for COVID-19 immunisation. The patient was not pregnant. Medical history included known allergies at bee stings, high blood pressure and high cholesterol. No COVID prior vaccination and no COVID tested post vaccination. Concomitant medications were not reported. The patient previously received the first dose of BNT162B2 on an unspecified date for COVID-19 immunization. The patient experienced pain under left breast on 06Mar2021 at 23:00. No treatment was received for the event. The patient had not recovered from the event. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1384420
Sex: M
Age:
State: PA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Dizziness; A fast heartbeat; This is a spontaneous report from a contactable consumer (patient). A 71-year-old male patient received first dose of bnt162b2 (BNT162B2), via an unspecified route of administration, administered in Arm Left on 09Mar2021 11:00 (Lot Number: EN6202) as single dose (at age of 71-year-old) for covid-19 immunisation. Medical history included diabetes type II, asthma. Concomitant medications were not reported. The patient previously took lisinopril and experienced drug hypersensitivity. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 09Mar2021 04:00 patient experienced dizziness and a fast heartbeat a couple hours duration. The patient underwent laboratory tests and procedures which included heart rate: fast on 09Mar2021. No treatment was received for the events. Patient did not have COVID prior vaccination and also patient was not tested for COVID post vaccination. Patient recovered on unknown date from the events. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1384421
Sex: M
Age:
State: DC

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: 101.5F fever; chills; headache day after injection; This is a spontaneous report from a contactable consumer (patient). A 33-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EN6198), at single dose in left arm on 08Mar2021 at 12:45 pm (at 33 years) for covid-19 immunisation. The patient medical history was not reported. Concomitant medications included omeprazole, cetirizine hydrochloride (ZYRTEC) and amlodipine , all taken for an unspecified indication, start and stop date were not reported. Previously on 15Feb2021 at 12:30 PM (at 33 years) patient took the first dose of the vaccine (lot EL9267) in left arm for COVID-19 immunization. On 09Mar2021 the patient experienced 101.5F fever, chills, headache. No treatment given. Patient recovered from the events in Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds: OMEPRAZOLE; ZYRTEC [CETIRIZINE HYDROCHLORIDE]; AMLODIPINE

Current Illness:

ID: 1384422
Sex: F
Age:
State: VA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Congestion; fatigue; cough with mild wheezing; cough with mild wheezing; 2 times severe sharp quick headache; hives at my jawline; sore arm at injection site; This is a spontaneous report from a contactable other HCP (patient). A 54-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 04Mar2021 11:30 (Batch/Lot number was not reported), age at vaccination of 54-years-old, as single dose,for covid-19 immunisation. Medical history included lyme disease from an unknown date and unknown if ongoing, autoimmune thyroiditis from an unknown date and unknown if ongoing, psoriasis from an unknown date and unknown if ongoing , psoriatic arthropathy from an unknown date and unknown if ongoing, asthma from an unknown date and unknown if ongoing, rubber sensitivity from an unknown date and unknown if ongoing, arthropod sting from an unknown date and unknown if ongoing, dust allergy from an unknown date and unknown if ongoing, mycotic allergy from an unknown date and unknown if ongoing, seasonal allergy from an unknown date and unknown if ongoing. The patient was not pregnant and was not pregnant at the time of vaccination. Concomitant medications included apremilast (OTEZLA) taken for an unspecified indication, start and stop date were not reported; vitamin c [ascorbic acid] (VITAMIN C [ASCORBIC ACID]) taken for an unspecified indication, start and stop date were not reported; colecalciferol (VIT D3) taken for an unspecified indication, start and stop date were not reported; zinc (ZINC) taken for an unspecified indication, start and stop date were not reported; bifidobacterium lactis (PROBIOTIC [BIFIDOBACTERIUM LACTIS]) taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced congestion, fatigue, cough with mild wheezing, 2 times severe sharp quick headache, hives at jawline, sore arm at injection site on 05Mar2021. No treatments were given for the events. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Facility type vaccine: Workplace clinic. The patient recovered from all events on an unspecified date. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: OTEZLA; VITAMIN C [ASCORBIC ACID]; VIT D3; ZINC; PROBIOTIC [BIFIDOBACTERIUM LACTIS]

Current Illness:

ID: 1384423
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/09/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: very hard time breathing; pulse ox went down to 94%; This is follow-up spontaneous report from Pfizer-sponsored program. A contactable 66-year-old female consumer reported for herself that she received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number unknown) via an unspecified routed of administration on an unspecified date, at single dose for COVID-19 immunisation. Relevant medical history included ongoing seasonal allergy (in fall time). Concomitant medications were not reported. The patient had a reaction from her first dose. Five hours after she received her shot, she had a very hard time breathing and her pulse oxygen went down to 94%. Then, five days later it happened again. She had Benadryl, breathing treatment, and Albuterol because of her seasonal asthma. Her Family Doctor told her to call the Allergist, someone else told her to call the drug store. The events were not resolved.

Other Meds:

Current Illness: Seasonal asthma (During fall time.)

ID: 1384424
Sex: F
Age:
State: CO

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Balance issues; nauseau; alterations to sense of smell; inability to focus; constant feeling needing to urinate/ inability to feel when I need to urinate; headache; joint pain; exhaustion; muscle aches; This is a spontaneous report from a contactable consumer or other non hcp. A 39-years-old female patient (not pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) , dose 1 via an unspecified route of administration, administered in Arm Left on 24Feb2021 at 13:00 (Batch/Lot Number: EN6198) as single dose for covid-19 immunisation. Relevant medical history was not reported. Concomitant medications included probiotics and ascorbic acid, betacarotene, calcium sulfate, colecalciferol, cyanocobalamin, ferrous fumarate, folic acid, nicotinamide, pyridoxine hydrochloride, retinol acetate, riboflavin, thiamine mononitrate, tocopheryl acetate, zinc oxide (PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS FUMARATE;FOLIC ACID;NICOTINAMIDE;PYRIDOXINE HYDROCHLORIDE;RETINOL ACETATE;RIBOFLAVIN;THIAMINE MONONITRATE;TOCOPHERYL ACETATE;ZINC OXIDE]). The patient previously took gluten and experienced drug hypersensitivity. On 24Feb2021 the patient experienced balance issues nausea, alterations to sense of smell, inability to focus, constant feeling needing to urinate/ inability to feel when I need to urinate, headache, joint pain, exhaustion, muscle aches, all with outcome of not recovered. Therapeutic measures were taken as a result of events. No follow-up attempts are possible; no further information is expected.

Other Meds: PROBIOTICS; PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS

Current Illness:

ID: 1384425
Sex: F
Age:
State: CT

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Right arm is sore near the injection site; This is a spontaneous report from a contactable consumer (the patient herself). A 44-year-olf female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number EL3247) intramuscularly in right arm on 09Mar2021 14:30 (at the age of 44-year-old) at single dose for COVID-19 immunisation. Relevant medical history was none. The patient did not have vaccine in four weeks nor COVID prior vaccination. Concomitant medications included esomeprazole sodium (NEXIUM), fexofenadine hydrochloride (ALLEGRA), cyanocobalamin (B12), bifidobacterium lactis (PROBIOTIC) and glucosamine. On 10Mar2021 09:00 the patient had right arm sore near the injection site. No treatment was received. The patient was not tested for COVID post vaccination. The event was non-serious and resolving. No follow-up attempts are possible. No further information is expected.

Other Meds: NEXIUM [ESOMEPRAZOLE SODIUM]; ALLEGRA; B12 [CYANOCOBALAMIN]; PROBIOTIC [BIFIDOBACTERIUM LACTIS]; GLUCOSAMINE

Current Illness:

ID: 1384426
Sex: F
Age:
State: NY

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies:

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: I have pain in my left arm since 2nd shot.; This is a spontaneous report from a contactable consumer (patient). A 76-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 01Feb2021 10:45 (Batch/Lot Number: EL8982) at the age of 76-year-old, as single dose for covid-19 immunisation. Historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number : EK9231) on 11Feb2021. Medical history included from an unknown date and unknown if ongoing. Concomitant medication included levothyroxine sodium (LEVOTHYROXIN) taken for an unspecified indication, start and stop date were not reported; amlodipine (AMLODIPINE) taken for an unspecified indication, start and stop date were not reported; rosuvastatin (ROSUVASTATIN) taken for an unspecified indication, start and stop date were not reported. The patient experienced pain in left arm since 2nd shot (pain in extremity) (non-serious) on 01Feb2021 11:00 with outcome of not recovered. Therapeutic measures were taken as a result of the event pain in extremity. No follow-up attempts are possible. No further information is expected.

Other Meds: LEVOTHYROXIN; AMLODIPINE; ROSUVASTATIN

Current Illness:

ID: 1384427
Sex: F
Age:
State: CA

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Nausea; loose stools different color than usual; loose stools different color than usual; This is a spontaneous report from a contactable consumer (patient herself). This 69-year-old female patient (not pregnant) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number not provided), via an unknown route in the right arm, on 03Mar2021 (at the age of 69-year-old) at single dose for COVID-19 immunisation, administered at hospital. No other vaccine was received in four weeks. Relevant medical history included allergy to sulfa, allergy to kiwi fruit and latex. Relevant concomitant medications included paracetamol (TYLENOL), levothyroxine, progesterone, and propranolol. On 04Mar2021 at 16:00, the patient developed nausea, loose stools different color than usual. The events were reported as non-serious. The patient was not treated for the events. Pre and Post-vaccination COVID tests were not done. The patient had not recovered from the events. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds: TYLENOL; LEVOTHYROXINE; PROGESTERONE; PROPRANOLOL

Current Illness:

ID: 1384428
Sex: F
Age:
State: FL

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: ringing in left ear, same side as inoculation; ringing in left ear, Same side as inoculation; This is a spontaneous report from a contactable consumer (patient) reporting about herself. A 59-year-old non pregnant female patient (at 59-year-old) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: eP6955, Expiration date: not reported), via an unspecified route of administration, in left arm on 09Mar2021 at 14:15 as 1ST DOSE, SINGLE DOSE for COVID-19 immunisation. The medical history and concomitant medications were not reported. She had no history of known allergies. Prior to vaccination, she did not receive any other vaccine (in four weeks) and other medications (in two weeks). The patient experienced ringing in left ear and same side as inoculation on 09Mar2021 at 21:00. No treatment was received. Covid prior and post vaccination was No. The clinical outcome of the events was resolving. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1384429
Sex: F
Age:
State: SC

Vax Date: 02/24/2021
Onset Date:
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: diarrhea; feeling unwell; weakness; sickness; stomach pain; throat irritation; nauseated; she can't catch her breath/ difficulty breathing and shortness of breath; joint pain; muscle pain; feels tired; feels like her whole body was shutting down/ felt awful; dizziness; This is a spontaneous report from a contactable consumer (patient). A 74-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration on 24Feb2021 (Batch/Lot number was not reported) as 2nd dose, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) on 03Feb2021 for COVID-19 immunisation and had no side effects. On 24Feb2021, the patient received the second dose of the vaccine and stated that she was still feeling unwell from the vaccine. The patient mentioned that she was experiencing weakness, sickness and feels like her whole body was shutting down on an unspecified date. The patient was also having stomach pain, throat irritation and diarrhea. The patient went to the ER last friday (05Mar2021) and went to the doctor on 09Mar2021. The patient was given pain medicine, nausea medicine and two antibiotics. The patient then inquired on how long does the side effects usually last and if there was anything that she could do. The patient then stated that she was having all the side effects and had been to the ER and to the doctor. Sometimes on unspecified dates, she can't catch her breath. She was having joint pain, muscle pain, and felt tired. The patient stated that she didn't feel like this until she got the second vaccine and now, she felt like everything fell apart. The patient went to the emergency room and they didn't do anything for her. She felt nauseated, had dizziness, weakness, difficulty breathing and shortness of breath. The patient had been trying to do all she can, she was just so weak. The patient then inquired if there was anything that can get rid of the side effects, how long they will last and if she will be normal again. The patient was not getting any better and felt awful. The patient then stated that they do anything for her in the ER and added that she only saw the nurses and not the doctor. The outcome of the events was not recovered. No follow-up attempts are possible, information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1384430
Sex: F
Age:
State: MN

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Extremely tired slept 12 hours straight; Extremely tired slept 12 hours straight; very sore arm; weakness; muscle aches; This is a spontaneous report from a contactable consumer (patient). A 67-years-old non pregnant female patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: EN6206), dose 1 via an unspecified route of administration, administered in Arm Right on 08Mar2021 10:00 as single dose for covid-19 immunization at Pharmacy or Drug Store. Medical history included known allergies which is not specified. Concomitant medications included metoprolol (METOPROLOL) 50 MG twice a day and amlodipine besylate (AMLODIPINE BESYLATE). Patient did not have covid prior vaccination. Patient was not covid tested post vaccination. Patient did not have other vaccine in four weeks. On 08Mar2021 15:00, the patient experienced Extremely tired slept12 hours straight, very sore arm, weakness, and muscle aches. Treatment was not received for adverse events. The outcome of events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: METOPROLOL; AMLODIPINE BESYLATE

Current Illness:

ID: 1384431
Sex: F
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date It was reported that the patient received her first dose of the Pfizer COVID-19 vaccine, but she became sick between her first and second dose. The patient wanted to know who she needs to call in order to schedule her second dose appointment. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1384432
Sex: F
Age:
State: UT

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: severe diarrhea; gas; bloating pain in standing up and walking in intestinal tract; bloating pain in standing up and walking in intestinal tract; This is a spontaneous report from a contactable consumer(patient). A 62-years-old non-pregnant female patient received BNT162B2(Solution for injection, Lot Number: en6203), dose 2 via an unspecified route of administration, administered in Arm Left on 05Mar2021 11:45 as single dose and previously took BNT162B2(Lot Number: el3247), dose 1 via an unspecified route of administration, administered in Arm Left on 05Feb2021 11:15 as single dose for COVID-19 immunization. Medical history included rheumatoid arthritis. Concomitant medication in two weeks included sertraline hydrochloride (ZOLOFT) taken for an unspecified indication, start and stop date were not reported. Patient did not had Covid prior vaccination and had no known allergies. No other vaccine in four weeks of vaccination. On 05Mar2021 17:00, the patient experienced severe diarrhea, gas, bloating pain in standing up and walking in intestinal tract. No treatment for adverse events and not tested Covid post vaccination. The outcome of the events was not resolved. No follow-up attempts are possible. No further information is expected.

Other Meds: ZOLOFT

Current Illness:

ID: 1384433
Sex: M
Age:
State: GA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Bad headache continuosly; This is a spontaneous report from a contactable consumer (patient, self-reporting). A 61-year-old male received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot number: EN6202 and expiration date was not reported), via an unspecified route of administration in left arm on 09Mar2021 at 16:30 (at the age of 61-year-old) as first dose, single for COVID-19 immunization. Patient had no known allergies and other medical history. The concomitant medication included fenofibrate, daily multivitamin administered on an unspecified date for an unspecified indication. Patient did not have any other vaccine in four weeks. Patient did not have COVID prior vaccination and was not test for COVID post vaccination. On 10Mar2021 at 01:30, nine hours after receiving vaccination, patient experienced bad headache continuously. Patient did not receive any treatment for the adverse event. Outcome of the event was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: FENOFIBRATE

Current Illness:

ID: 1384434
Sex: F
Age:
State: FL

Vax Date: 02/23/2021
Onset Date:
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: rash was a little big but after the second shot it got quite worse. As far as worse she states itching and swollen; rash is on her face and down onto her neck and her left shoulder, she received the shot on her left side and it itches; rash was a little big but after the second shot it got quite worse. As far as worse she states itching and swollen; she received the shot on her left side and it itches; This is a spontaneous report from a contactable consumer (patient). An 85-year-old female patient received her second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number EN6200), via an unspecified route of administration on 23Feb2021 14:15 (at the age of 85-years-old) at 2nd dose, single dose in the left arm for COVID-19 immunization. Medical history included ongoing rash. The patient has no concomitant medications. Historical vaccine included first dose of BNT162B2 received on 02Feb2021 for COVID-19 immunization and experienced rash (in the first shot but it was nothing worth). The patient reported that before receiving the second dose on 23Feb2021, she developed a rash which was a little big. She thinks that the rash may have been there a little before she received the second shot. Then after receiving the second dose of the vaccine, she reported that the rash got quite worse. Further stated that the rash was itching and swollen. The patient saw her doctor a week ago, on 03Mar2021, and the doctor felt that this rash was insignificant and did not prescribe any course of treatment. The patient stated that the rash was on her face, down to her neck and left shoulder. The patient received her Pfizer COVID vaccine shot on the left side, and it itches. The patient stated that it has been over 2 weeks and she still have the rash. But the patient stated that the rash was improving, it was not as red and was less itchy. The patient asked when it will go away. The patient had a blood work done on an unspecified date, before going to see the doctor, and reported that the results were normal. For the patient, the rash was not life threatening, however it was uncomfortable. The events rash aggravated, itchy rash, and swelling resulted in physician's office visit. The patient did not receive any treatment for the events rash aggravated, itchy rash, and swelling. Outcome of the event rash aggravated and itchy rash was recovering, and for other events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness: Rash

ID: 1384435
Sex: F
Age:
State: NY

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Slight headache; sore arm where vaccine was administered; This is a spontaneous report from a contactable consumer (patient herself) reported that a 60-years-old non pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number and expiration date were unknown), via an unspecified route of administration in left arm on 10Mar2021 at 10:00 AM as a single dose for COVID-19 immunisation. The patients medical history included High blood pressure and has no allergies. Concomitant medications included Rosuvastatin 10mg, and Metoprolol Tartrate 50mg. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 10Mar2021 at 10:00 AM, the patient experienced Slight headache and sore arm where vaccine was administered. No treatment was received for the adverse events. The patient was not diagnosed with Covid-19 prior vaccination and has not been tested for Covid-19 post vaccination. The outcome of the events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: ROSUVASTATIN; METOPROLOL TARTRATE

Current Illness:

ID: 1384436
Sex: F
Age:
State: CT

Vax Date: 03/05/2021
Onset Date: 03/01/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: insides of mouth/cheeks started to break out but pain is less than on 06Mar2021; insides of mouth/cheeks started to break out but pain is less than on 06Mar2021; tongue started to hurt on sides and pain was such that patient not sure she could eat; Had sore arm for 2 days; This is a spontaneous report from a contactable pharmacist. A 62-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), intramuscular, administered in left arm on 05Mar2021 at 15:45 (Batch/Lot Number: EMZOS) (at the age of 62 years old) as 1st dose, single dose for COVID-19 immunisation. Medical history included fibromuscular dysplasia. The patient is not pregnant at time of vaccination. The vaccine facility type was reported as Other. The patient had no other vaccine in four weeks. The patient had no COVID prior vaccination and was not tested for COVID post vaccination. The patient had no known allergies. Concomitant medications included hydrochlorothiazide, losartan potassium (LOSARTAN HCTZ); nifedipine; cyanocobalamin (VIT B12); and ergocalciferol (VIT D), all taken for an unspecified indication, start and stop dates were not reported. The patient had these concomitant medications in two weeks. On morning of 06Mar2021, the patient's tongue started to hurt on sides and pain was such that patient not sure she could eat. On 09Mar2021, the insides of mouth/cheeks started to break out, but pain is less than on 06Mar2021. The patient had sore arm for 2 days. There was no treatment. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: LOSARTAN HCTZ; NIFEDIPINE; VIT B12; VIT D

Current Illness:

ID: 1384437
Sex: F
Age:
State: NY

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: grogginess; no appetite; sore jaw; extreme headaches; flu like symptoms; dizziness; achy body; pain in arm near injection site; This is a spontaneous report from a contactable consumer or other non hcp. A 45-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left unknown on 09Mar2021 08:00 (Batch/Lot Number: EN6205) as a Single dose for covid-19 immunization. The patient past Medical history included asthma and breast cancer in remission 11yrs out. The patient's concomitant medications were not reported. The patient had Allergic to Codiene. 8hrs after the administration of vaccine the patient experienced flu like symptoms, dizziness, achy body, pain in arm near injection site on 09Mar2021 at 4:00pm, after the 17hrs the patient reported extreme headaches and 24hrs after reported grogginess, tension headache, dizziness, no appetite and sore jaw on 10Mar2021 at 01:00. The patient did not take any other vaccine within 4 weeks. The patient was not tested for Covid-19 prior to vaccination. The outcome of the events were recovering. No follow-up attempts are possible; No further information is expected.

Other Meds:

Current Illness:

ID: 1384438
Sex: F
Age:
State: TX

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: tired; chills; joint pain; muscle pain; nausea/wanted to vomit; blood pressure increased; heart rate increased; feeling unwell; injection site swelled; injection site bled had to band aid; headache; This is a spontaneous report from a contactable consumer (patient). A 59-Year-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration in the left arm, on 03Mar2021 at 02:15 PM (at the time of 59-year-old) at single dose for COVID-19 immunisation. The patient medical history included obese, post concussion syndrome and surgeries. Concomitant medications included vitamins, zinc and iron health supplements. The patient previously took morphine and lanocaine and experienced allergies. On an unspecified date in Jun2020 and Dec2020, the patient underwent nasal swab test for covid (post vaccination) and the result was negative. On an unspecified date in Aug2020, the patient underwent blood test for covid (post vaccination) and the result was negative. On 03Mar2021 at 02:15 PM, the patient experienced tired, chills, joint pain, muscle pain, nausea, blood pressure increased, heart rate increased, feeling unwell wanted to vomit for four days, injection site swelled then on four-day injection site bled had to band aid it stopped after a bit while she went back to sleep and had headache for four to five days. Advised to go to emergency room but cannot afford emergency room. It was unknown whether the patient had covid prior vaccination. The patient did not receive any other vaccine in four weeks. The patient received Benadryl as treatment for the events. The outcome of the events was recovering No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds: ZINC; IRON

Current Illness:

ID: 1384439
Sex: F
Age:
State: IL

Vax Date: 03/04/2021
Onset Date: 03/01/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: heaviness in her chest and bones; heaviness in her chest and bones; hot flashes; has not slept in four days; her whole body swelled up; This is a spontaneous report from a Non-contactable consumer. This consumer reported similar event for 2 patient (Herself and her Brother-in-law). This is First of 2 report. A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation solution for injection; Batch/Lot Number: not reported), via an unspecified route of administration on 04Mar2021, as single for Covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient stated that she took the first dose of the Pfizer Covid 19 vaccine six days ago and stated she knew what her experience was. On an unspecified date in Mar2021, she had heaviness in her chest and bones; she had hot flashes and had not slept in four days and her whole body swelled up. She also wanted to ask if the vaccine would be ok for her husband who had polymyalgia (PMR) because she knew how the vaccine made her feel. The patient was very angry that agent could not provide her HCP information. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021277081 same reporter/drug/AE, different patients

Other Meds:

Current Illness:

ID: 1384440
Sex: F
Age:
State:

Vax Date: 03/09/2021
Onset Date:
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: bad headache throughout the night; fever; chills; sweating; muscle ache; tightness of the chest (some pressure; not pain); and when I stand up, I feel winded; This is a spontaneous report from a female contactable consumer (patient). A 31-year-old female patient received second dose of bnt162b2 (PFIZER BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot number was not reported) via an unspecified route of administration on 09Mar2021 as a 2nd dose, single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient received the Pfizer BioNTech COVID-19 Vaccine second dose yesterday morning, 9Mar2021. Patient reported to have a bad headache throughout the night, fever, chills, & sweating. Patient woke up with no more fever but still has headaches, muscle ache, tightness of the chest (some pressure; not pain), and when I stand up, I feel winded on an unspecified date in 2021. The outcome of the events bad headache throughout the night, muscle ache was not recovered; chills, sweating, tightness of the chest (some pressure; not pain) and when I stand up, I feel winded was unknown, fever was recovered on an unspecified date in 2021. No follow up attempts are possible. Information about lot or batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1384441
Sex: F
Age:
State: CA

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: severe sharp pains in my ankle that got worse and my ankle and leg were sensitized; severe sharp pains in my ankle that got worse and my ankle and leg were sensitized; foot swelled up; This is a spontaneous report from a contactable consumer (patient). A 53-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number not reported, patient was not pregnant and 53-years-old at the time of vaccination), via an unspecified route of administration in Arm Left on 03Mar2021 as single dose for covid-19 immunisation. The patient's medical history included High blood pressure, low blood sugar, anxiety, Ulnar nerve damage, start and stop date was not reported, Patient had known allergies with Sulphate and Dicloxacillin and baclofen. Patient had no covid prior vaccination and not tested covid post vaccination. Patient had no other vaccine in four weeks. Patient received unspecified other medications in two weeks. Reported that patient was 9 weeks into my recovery from a bimalleolar fracture. I was cleared to walk and had been doing well with minimal pain and no swelling putting 50 percent weight on my foot. Within 24 hours of getting my vaccine, my foot swelled up, I began having severe sharp pains in my ankle that got worse and my ankle and leg were sensitized. I called my doctor 5 days later and was referred to physical therapy. The only difference during this time was the vaccine. On 04Mar2021, the patient experienced severe sharp pains in my ankle that got worse and my ankle and leg were sensitized, foot swelled up. Patient received treatment with Physical therapy and Voltaren cream. The outcome of reported events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1384442
Sex: M
Age:
State: IA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Migration of complex regional pain syndrome; This is a spontaneous report from a contactable consumer (patient). A 41-years-old male patient received BNT162B2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: EN6206, Expiration date was unknown), via an unspecified route of administration, administered in left arm on 08Mar2021 at 07:30 as 1st dose, single dose for covid-19 immunization. The patient medical history was not reported. Patient had no other vaccine in four weeks. Patient had no COVID prior to vaccination. Concomitant medication(s) included propranolol and omeprazole (taken for an unspecified indication, start and stop date were not reported). On 08Mar2021 at 08:30 hours, patient had migration of complex regional pain syndrome. Patient received no treatment for the event. Patient was not tested for COVID post vaccination. The outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: PROPRANOLOL; OMEPRAZOLE

Current Illness:

ID: 1384443
Sex: F
Age:
State: NY

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: fatigue; fever; chills; sharp pain in joints; headache; nausea; stomach cramps; This is a spontaneous report from a contactable consumer (patient). A 62-year-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot# EN 6199) via an unspecified route of administration (administered in arm right) on 08Mar2021 at 14:30 (at the age of 62-year-old) at single dose for COVID-19 immunisation. Medical history includes blocked coronary artery, diabetes, cancer, obesity and shellfish allergy. Patient not diagnosed with covid-19 prior to vaccination. Concomitant medication included carvedilol and topiramate. The patient previously took iodine and Plavix and experienced allergy. On 08Mar2021 at 14:45 the patient experienced fatigue, fever, chills, sharp pain in joints, headache, nausea, and stomach cramps. Patient was not received any other vaccine prior four weeks of vaccination and since vaccination patient not tested for covid-19. Patient was not received any treatment for the events. The outcome of the events was reported as not recovered. No follow-up attempts are Possible. Information on lot/batch cannot be obtained.

Other Meds: CARVEDILOL; TOPIRAMATE

Current Illness:

ID: 1384444
Sex: F
Age:
State: NY

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Lightheaded; dizzy; heart palpitations; shaking; headache; unable to take deep breaths; This is a spontaneous report from a contactable consumer or other non hcp. A 58-years-old non -pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN6199), via an unspecified route of administration, administered in arm left on 06Mar2021 16:45 as 1st dose, single dose for COVID-19 immunization. Medical history included crohn's disease and known allergies Sulfa from an unknown date and unknown if ongoing. Concomitant medications included multivitamin, ergocalciferol (VIT D), curcuma longa (TURMERIC (CURCUMA LONGA), camphor, cymbopogon schoenanthus oil, menthol, panax pseudoginseng, zingiber officinale oil (GINGER CITRONELLA) , ascorbic acid (VIT C) , ibuprofen (ADVIL), paracetamol (TYLENOL) taken for an unspecified indication, start and stop date were not reported. The patient was not had Covid prior vaccination, and the test was not performed post vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced lightheaded, dizzy, heart palpitations, shaking, headache, unable to take deep breaths on 06Mar2021 16:45. Treatment was not received for the events. The outcome of the events was reported as recovered on an unspecified date in 2021. No follow-up attempts are Possible. No further information is expected.

Other Meds: VIT D; TURMERIC [CURCUMA LONGA]; GINGER CITRONELLA; VIT C; ADVIL [IBUPROFEN]; TYLENOL

Current Illness:

ID: 1384445
Sex: M
Age:
State: CA

Vax Date: 02/11/2021
Onset Date: 02/16/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Bad rash all over body (forehead, scalp, elbow, shoulders, upper chest, lower back, hips, front thighs, front lower legs; This is a spontaneous report from a contactable consumer (patient). A 67-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection) via an unspecified route of administration administered in left arm on 11Feb2021 at 15:30 (at the age of 67-years-old) as single dose COVID-19 immunization. The patient's medical history includes year-round allergies (pollen, trees, bushes, grasses, dust). The patient's concomitant medications include lisinopril, lovastatin, fexofenadine hydrochloride (ALLERFEX) and cetirizine hydrochloride (ALLERTEC). It was reported that the patient experienced bad rash all over body (forehead, scalp, elbow, shoulders, upper chest, lower back, hips, front thighs, front lower legs) on 16Feb2021 at 20:45. It was reported that the AE resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of adverse event which included antihistamine and topical ointment. The outcome of the event was reported as not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: LISINOPRIL; LOVASTATIN; ALLERFEX; ALLERTEC

Current Illness:

ID: 1384446
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: This is a spontaneous report from a Non-contactable Other HCP (health care professional). A 25-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection, Batch/Lot Number: EN6206, expiration date unknown) 1st dose, via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunization (at the age of 25-years-old). The patient medical history and concomitant medications were not reported. Caller stated that, after receiving first dose of vaccine on an unspecified date the patient experienced red blotchy, itchy rash on Left deltoid area x 4-6 days and started feeling itchy over whole body in one hour after injection. The outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1384447
Sex: F
Age:
State:

Vax Date: 03/08/2021
Onset Date:
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: she has had tingling up and down her left arm, hand and leg stating it feels like pins and needles; This is a spontaneous report from a contactable consumer or other non-Health Care Professional. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number and Expiry date: Unknown), dose 1 via an unspecified route of administration on 08Mar2021 as 1ST DOSE, SINGLE DOSE for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. On an unspecified date the patient experienced she has had tingling up and down her left arm, hand and leg stating it feels like pins and needles. The outcome of event was unknown. No follow-up attempts are possible, information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1384448
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: accidently received the second dose of the Pfizer-BioNTech COVID-19 vaccine a week earlier than the recommended 3-week period; accidently received the second dose of the Pfizer-BioNTech COVID-19 vaccine a week earlier than the recommended 3-week period; fever; This is a spontaneous report from a contactable other healthcare professional (patient). A 24-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously took first dose of BNT162B2 for COVID-19 immunisation. On an unspecified date it was reported that she accidently received the second dose of the Pfizer-BioNTech COVID-19 vaccine a week earlier than the recommended 3-week period. She added she had a fever. She asked if her dose was still considered valid and will she need to get revaccinated. The outcome for events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1384449
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: throat tightness; Vaccine Related Anxiety (include misc mental health); hypoglycemia; hypotension; generalized rash; This is a spontaneous report from a non-contactable other HCP. A 65-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EN6203) via an unspecified route of administration on an unspecified date as 1st dose, single dose for covid-19 immunisation. The patient medical history included elevated blood pressure (BP) from an unknown date and unknown if ongoing. The concomitant drug was not reported. The patient experienced throat tightness, vaccine related anxiety (include misc mental health), hypoglycemia, hypotension and generalized rash on an unspecified date. It was reported that, during the patient's 30-minute waiting period after the injection, the patient began to experience throat tightness. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, hoarseness, stridor, itching, light-headedness, dizziness, facial swelling, lip swelling and tongue swelling. The patient discharge stable to go home and follow up with PCP. Differential diagnosis: Vaccine related anxiety (include misc mental health) and systemic reaction (hypoglycemia, hypotension, generalized rash). Hypertension (HTN) More likely anxiety related in her reaction today. No progression of her symptoms of throat tightness. She reports it was resolving. Time of observation was 30 minutes. She feels comfortable going home. She was aware of what to monitor for. In regard to BP she stated that she was off her medications for a while and working on diet. She was stable without (w/o) cp, shortness of breath (sob), jaw pain, neu. Treatment included: antihistamines and water Pepcid and Zyrtec. The follow up response to treatment was good. The patient underwent lab tests and procedures which included blood pressure measurement: elevated on unspecified date. Therapeutic measures were taken as a result of throat tightness. The outcome of the events was resolving. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1384450
Sex: M
Age:
State:

Vax Date:
Onset Date: 03/10/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: his arm also hurt/pain in my arm; couldn't sleep enough/could not sleep well; felt more and more ill; whole body hurts/body hurts; chills; very tired; his head hurts too; This is a spontaneous report from a non-contactable consumer reported for the patient (brother) via medical information team. A 56-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection), via an unspecified route of administration on an unspecified date as a single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. It was reported that yesterday the patient got the vaccine around 10:00, was fine, but moved his arm and it hurt a lot, couldn't sleep enough because of the pain in arm, today went out for a walk but felt more and more ill, came back and whole-body hurts, have chills, very tired and head hurts a little on 10Mar2021. Experienced pain before, but it accentuated. The patient inquired what can he taken as a treatment and what should he do. His body temperature is 97.7 ? F. His brother considers taking Ibuprofen to relieve symptoms. The reporter inquires if the patient can take Ibuprofen to relieve the symptoms experienced. The outcome of the events was unknown. No follow-up attempts are possible. Information about lot/batch number cannot been obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1384451
Sex: F
Age:
State: OH

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Sore muscle; A bit tired; This is a spontaneous report from a contactable consumer reporting for herself. A 62-years-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection), via an unspecified route of administration, administered in Arm Left on 10Mar2021 09:45 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient did not receive any other vaccines in four weeks and any other medications in two weeks. Patient was not tested for covid prior or post vaccination. On 10Mar2021 16:00 the patient experienced sore muscle, and a bit tired. Patient did not receive any treatment. The clinical outcome of events was unknown. No follow-up attempts are possible, information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1384452
Sex: M
Age:
State: NY

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: chills; This is a spontaneous report from a contactable consumer or other non hcp. Consumer reported for himself that a 41-years-old male patient received bnt162b2 (BNT162B2, Formulation: Solution for injection, Batch/Lot number: EL3247), dose 1 via an unspecified route of administration, administered in Arm Left on 09Mar2021 09:30 as 1ST DOSE, SINGLE for covid-19 immunisation. Patient did not had any medical history. Concomitant medication(s) included collagen marine, methylsulfonylmethane (MARINE COLLAGEN PEPTIDES WITH MSM); ascorbic acid, euterpe oleracea fruit (ACAI BERRY [ASCORBIC ACID;EUTERPE OLERACEA FRUIT]); vitamin c [ascorbic acid] and vitamin b complex. Patient had no known allergies. On 10Mar2021 07:00, the patient experienced chills. Patient did not received any treatment. It was reported that patient started getting chills almost 24 hrs after getting the first dose, they have lasted for the past 10 hrs. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has been not tested for COVID-19. The outcome of event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: MARINE COLLAGEN PEPTIDES WITH MSM; ACAI BERRY [ASCORBIC ACID;EUTERPE OLERACEA FRUIT]; VITAMIN C [ASCORBIC ACID]; VITAMIN B

Current Illness:

ID: 1384453
Sex: F
Age:
State: NY

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Very tired; headache; chills; This is a spontaneous report from a contactable consumer or other non-healthcare professional. A 43-years-old female patient received first dose of bnt162b2 (BNT162B2), via an unspecified route of administration in left arm on an unknown date in Mar2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation at Clinic/facility. Medical history included hypertension, high blood pressure, asthma, known allergies: Amoxicillin, Bactrim, Flagyl and lactose. The patient's concomitant medications were not reported. The patient did not receive any other vaccination in four weeks before covid vaccine administration. The patient did not have covid prior to vaccination and covid was not tested post vaccination. On an unknown date in Mar2021, after administration of first dose of vaccine, the patient experienced very tired, headache and chills. Outcome of the events very tired, headache and chills were reported as recovering at the time of this report. No follow-up attempts are possible. Information about lot/batch number cannot been obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1384454
Sex: F
Age:
State: PA

Vax Date: 03/04/2021
Onset Date: 03/08/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: throat started to hurt like it was swollen; It felt more muscular.; a couple episodes of trouble swallowing.; it felt like the very back of my tongue was also swollen.; This is a spontaneous report from a contactable consumer. This 53-year-old female consumer (patient) reported that who received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: En6198 and expiry date was unknown) via an unspecified route of administration on 04-MAR-2021 19:00 as a single dose for COVID-19 immunisation. Medical history was Psoriatic arthritis, osteoarthritis, fibromyalgia, asthma, allergic to Several Antibiotics, deet. Concomitant medication was not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 08-MAR-2021 17:00 her throat started to hurt like it was swollen. Did not have a sore(irritated) throat. It felt more muscular. She had a couple episodes of trouble swallowing. Tuesday night it felt like the very back of my tongue was also swollen. This problem was not constant. She have episodes of it happening. No treatment was received due to events. Outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1384455
Sex: F
Age:
State: TX

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: nausea; dizzy; vomiting; sometimes I feel hot; I feel chilled; This is a spontaneous report from a contactable consumer (Patient). A 49-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot Number: 9NG198), dose 1 via an unspecified route of administration administered in Arm Left on 09Mar2021 at 11:30 (at 49-years age) as single dose of covid-19 immunisation. Medical history included seizure, endometriosis and had known Allergies: antibiotics sulfa medicines. Concomitant medications included zonisamide (ZONEGRAN) and levetiracetam (KEPPRA). Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Other vaccine was not received in four weeks. On 09Mar2021 at 12:00, patient experienced nausea and dizzy and vomiting after first dose sometimes she feel hot and other times she feel chilled. No treatment was received for events. The outcome of events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: ZONEGRAN; KEPPRA

Current Illness:

ID: 1384456
Sex: M
Age:
State:

Vax Date: 03/08/2021
Onset Date: 03/01/2021
Rec V Date: 06/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: headache; This is a spontaneous report from a contactable consumer (patient). A 60-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration in Arm on 08Mar2021 as single dose for COVID-19 immunisation. The patient medical history and concomitant medication were not reported. The patient experienced headache on an unspecified date on Mar2021. Reporter reported as, He was told by the vaccination site "don't take advile if your arm gets store, tylenol is fine but not advil." He states that he doesn't have arm soreness but has a headache from his job today and only has Advil to take for it. He feels this is not vaccine related. Outcome of the event was unknown. No follow-up attempts are possible. Information about lot/batch number cannot been obtained. No further information is expected.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm